Active NPI
Krista Grantham, PA-C
- Surgical Physician Assistant
- San Antonio, TX
National Provider Identifier
1073920005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA09328
- Practice address
- 133 Terrell Rd Unit 9
San Antonio, TX 78209-6329 - Phone
- (830) 221-6903
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | PA09328 | TX | Primary |
Addresses
Primary practice location
133 Terrell Rd Unit 9
San Antonio, TX 78209-6329
Mailing address
PO Box 6141
San Antonio, TX 78209-0141
Phone (830) 221-6903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Medical School at San Antonio, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3619 Paesanos Pkwy
Suite 302
San Antonio, TX 78231-1259
Phone (210) 469-3830
Hospital & facility affiliations
- Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.32 of 100
- Quality
- 75.23
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09328 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Bruggeman MD PLLC | Physician Assistant | Past | Accepting new patients |
| Dr Bradley Shipman MD PLLC | Past | Accepting new patients | |
| Elan Elite | Surgical | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Physician Assistant
- San Antonio, TX
- NPI 1699582304
-
- Surgical Assistant
- San Antonio, TX
- NPI 1689259087
-
- Orthopaedic Surgery of the Spine Physician
- San Antonio, TX
- NPI 1104231349
Physician Assistant
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1386053684
-
- Surgical Physician Assistant
- San Antonio, TX
- NPI 1346693348
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1073920005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6141",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782090141",
"telephone_number": "830-221-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 TERRELL RD UNIT 9",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782096329",
"telephone_number": "830-221-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANTHAM",
"first_name": "KRISTA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA09328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.